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dc.contributor.authorKeane, R A
dc.contributor.authorO'Connor, A
dc.contributor.authorRyan, B
dc.contributor.authorBreslin, N
dc.contributor.authorO'Connor, H J
dc.contributor.authorQasim, A
dc.contributor.authorO'Morain, C
dc.date.accessioned2011-11-15T16:06:51Z
dc.date.available2011-11-15T16:06:51Z
dc.date.issued2011-11-15T16:06:51Z
dc.identifier.citationInappropriate colonoscopic surveillance of hyperplastic polyps., 104 (7):211-4 Ir Med Jen
dc.identifier.issn0332-3102
dc.identifier.pmid21957689
dc.identifier.urihttp://hdl.handle.net/10147/189667
dc.description.abstractColonoscopic surveillance of hyperplastic polyps alone is controversial and may be inappropriate. The colonoscopy surveillance register at a university teaching hospital was audited to determine the extent of such hyperplastic polyp surveillance. The surveillance endoscopy records were reviewed, those patients with hyperplastic polyps were identified, their clinical records were examined and contact was made with each patient. Of the 483 patients undergoing surveillance for colonic polyps 113 (23%) had hyperplastic polyps alone on last colonoscopy. 104 patients remained after exclusion of those under appropriate surveillance. 87 of the 104 patients (84%) were successfully contacted. 37 patients (8%) were under appropriate colonoscopic surveillance for a significant family history of colorectal carcinoma. 50 (10%) patients with hyperplastic polyps alone and no other clinical indication for colonoscopic surveillance were booked for follow up colonoscopy. This represents not only a budgetary but more importantly a clinical opportunity cost the removal of which could liberate valuable colonoscopy time for more appropriate indications.
dc.language.isoenen
dc.subject.meshColonic Polyps
dc.subject.meshColonoscopy
dc.subject.meshFemale
dc.subject.meshGenetic Predisposition to Disease
dc.subject.meshHumans
dc.subject.meshIreland
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPopulation Surveillance
dc.subject.meshQuestionnaires
dc.subject.meshRisk Factors
dc.subject.meshUnnecessary Procedures
dc.titleInappropriate colonoscopic surveillance of hyperplastic polyps.en
dc.typeArticleen
dc.contributor.departmentAMNCH, Tallaght, Dublin 24. rukeane@tcd.ieen
dc.identifier.journalIrish medical journalen
dc.description.provinceLeinster
refterms.dateFOA2018-08-22T14:59:19Z
html.description.abstractColonoscopic surveillance of hyperplastic polyps alone is controversial and may be inappropriate. The colonoscopy surveillance register at a university teaching hospital was audited to determine the extent of such hyperplastic polyp surveillance. The surveillance endoscopy records were reviewed, those patients with hyperplastic polyps were identified, their clinical records were examined and contact was made with each patient. Of the 483 patients undergoing surveillance for colonic polyps 113 (23%) had hyperplastic polyps alone on last colonoscopy. 104 patients remained after exclusion of those under appropriate surveillance. 87 of the 104 patients (84%) were successfully contacted. 37 patients (8%) were under appropriate colonoscopic surveillance for a significant family history of colorectal carcinoma. 50 (10%) patients with hyperplastic polyps alone and no other clinical indication for colonoscopic surveillance were booked for follow up colonoscopy. This represents not only a budgetary but more importantly a clinical opportunity cost the removal of which could liberate valuable colonoscopy time for more appropriate indications.


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